CurrentHawaii Department of Human ServicesPolicy N/A

2026 MAGI and MAGI-excepted income standards (FPL and dollar amounts)

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Sets the 2026 Modified Adjusted Gross Income (MAGI) percentage-of-FPL thresholds and corresponding dollar standards, and MAGI-excepted (non-MAGI) income standards, for Hawaii Department of Human Services eligibility groups (children, pregnant women, parent/caretaker relatives, S-CHIP, and various aged/disabled categories). Affects applicants and beneficiaries whose eligibility is determined using these standards.

Policy Summary

PayerHawaii Department of Human Services

Policy2026 MAGI and MAGI-excepted income standards (FPL and dollar amounts)

Policy CodePolicy N/A

Change TypeInformational annual standards publication

Effective DateJan 13, 2026

Last ReviewJan 13, 2026

Next Review DateN/A

Key ActionUse the published 2026 MAGI percentage-of-FPL thresholds and monthly dollar standards when determining eligibility for the listed Hawaii DHS coverage groups.

SourceLink

POLICY UPDATE CHANGES

No material clinical or coverage changes in this revision.

191%–196%Infant (<1) & Pregnant Woman MAGI FPL range

133%–138%Child 6–18 MAGI FPL range

308%–313%S-CHIP Child <19 MAGI FPL range

MultipleMAGI dollar tables (HH sizes 1–9)

$1,284–$1,936Medically Needy monthly range

$4,000–$14,910Asset limits by household

Income Eligibility and MAGI-excepted Standards (2026)

Income eligibility criteria (summary)

Income eligibility thresholds and monthly dollar standards for 2026 by program and household size.

Parent/Caretaker Relative MAGI standards: MIN = 100% FPL; MAX = 105% FPL (examples and dollar equivalents provided by household size).

Parent/Caretaker Relative alternate MAGI range: MIN = 133% FPL; MAX = 138% FPL (examples and dollar equivalents provided by household size).

Children MAGI standards by age: Child 6–18 MIN = 133% FPL, MAX = 138% FPL; Child 1–5 MIN = 139% FPL, MAX = 144% FPL; Child <1 MIN = 191% FPL, MAX = 196% FPL.

Pregnant women MAGI standards: MIN = 191% FPL; MAX = 196% FPL.

S-CHIP (Child <19) MAGI standards: MIN = 308% FPL; MAX = 313% FPL.

Monthly dollar MAGI standards: dollar equivalents for the MAGI percentage thresholds are provided per household size (HH1 shown examples include Parent/Caretaker Relative MIN $1,530 and MAX $1,607; Child 6–18 MIN $2,035 and MAX $2,112; Child 1–5 MIN $2,127 and MAX $2,204; Child <1 MIN (dollar) shown in source).

MAGI-excepted income and asset criteria

Specified monthly income and asset limits apply to MAGI-excepted (non‑MAGI) coverage groups listed below (effective 01/13/2026).

Medically Needy Spenddown (Pregnant Women/Children): income thresholds by month = June $11,120; July $12,753; August $14,385; September $16,018; October $17,650; October (additional) $19,283.

Medically Needy (Aged, Blind, Disabled): monthly income thresholds by month = June $1,284; July $1,447; August $1,610; September $1,773; October $1,936.

Mandatory Categorically Needy (Aged, Blind, Disabled) (MCN / SSI-based): monthly income thresholds by month = June $3,483; July $3,981; August $4,479; September $4,977; October $5,475.

Categorically Needy (OCN) / QMB/BHH: monthly income thresholds by month = June $4,251; July $4,795; August $5,340; September $5,884; October $6,428.

SLMB: monthly income thresholds by month = June $5,102; July $5,754; August $6,407; September $7,061; October $7,713.

QI-1: monthly income thresholds by month = June $5,739; July $6,474; August $7,208; September $7,943; October $8,678.

QDWI: monthly income thresholds by month = June $8,502; July $9,590; August $10,679; September $11,767; October $12,855.

MAGI-excepted asset limits by household: HH-1 = $4,000 (also shown $9,950 in source entries); HH-2 = $6,000 (also shown $14,910 in source entries); Additional individual = $500.

MAGI-excepted percent-of-FPL references for program categories: Medically Needy (MN) = MNIL*; MCN = SSI income standard*; OCN (QMB/BHH) = 100% FPL; SLMB = 120% FPL; QI-1 = 135% FPL; QDWI = 200% FPL; Medically Needy Spenddown (Pregnant Women/Children) = 300% FPL.

Coding, Dollar Thresholds, and Quick Values

No codesmixed

No medical procedure or diagnosis codes are present in this document portion; content is income standard tables.

Asset limits by householdmixed

HH-1	Household 1 asset limit $4,000 / $9,950
HH-2	Household 2 asset limit $6,000 / $14,910
Add'l Individual	Additional individual asset limit $500

MAGI FPL percentage thresholds (examples)

Parent/Caretaker Relative (examples)100%–105% and 133%–138% of FPL

Child, age 6–18133%–138% of FPL

Child, age 1–5139%–144% of FPL

Child under 1 and Pregnant Woman191%–196% of FPL

S-CHIP Child under 19308%–313% of FPL

Monthly income thresholds (examples, HH-1 shown)

HH size 1 — Parent/Caretaker Relative (min)$1,530

HH size 1 — Parent/Caretaker Relative (max)$1,607

HH size 1 — Child 6–18 (min/max)$2,035 / $2,112

HH size 1 — Child 1–5 (min/max)$2,127 / $2,204

HH size 1 — Child under 1 (min)(see source for full table)

Provider Notices and Publication Details

Note

MAGI FPL Thresholds (2026)

Provides the 2026 MAGI percentage-of-FPL threshold ranges for Hawaii eligibility groups; use these thresholds when determining MAGI-based eligibility for parents/caretaker relatives, children by age, pregnant women, and S-CHIP children.

Parent/Caretaker Relative: MIN = 100% FPL; MAX = 105% FPL and also MIN = 133% FPL; MAX = 138% FPL (document lists both ranges)
Child 6–18 (Child 6<19): MIN = 133% FPL; MAX = 138% FPL
Child 1–5 (Child 1<6): MIN = 139% FPL; MAX = 144% FPL
Child <1: MIN = 191% FPL; MAX = 196% FPL
Pregnant Woman: MIN = 191% FPL (MAX shown as 196% in related child <1 entry)

Documentation Required

MAGI-excepted Monthly Income Standards (Effective 01/13/2026)

Lists the monthly MAGI-excepted (non-MAGI) dollar income standards effective 01/13/2026 for multiple coverage groups; providers must apply these month-specific dollar standards for MAGI-excepted eligibility determinations.

Medically Needy Spenddown (Pregnant Women/Children): June = $11,120; July = $12,753
Medically Needy (MN) (Aged, Blind, Disabled): June = $1,284; July = $1,447
Mandatory Categorically Needy (MCN) (Aged, Blind, Disabled): June = $3,483; July = $3,981
Categorically Needy (OCN) (Aged, Disabled) QMB/BHH: June = $4,251; July = $4,795
SLMB: June = $5,102; July = $5,754
QI-1: June = $5,739; July = $6,474
QDWI: June = $8,502; July = $9,590

Definitions and MAGI-excepted Category Notes

MAGI-excepted income standards (definition)

DefinitionMAGI-excepted income standards: income standards that apply to non-MAGI categories such as Medically Needy (MN), Mandatory Categorically Needy (MCN), Categorically Needy (OCN), SLMB, QI-1, and QDWI.

Statutory referencesStandards cited by section: MN §17-1719-11; MCN §17-1719-11; OCN/QMB/BHH §§17-1719-11, 17-1722-10; SLMB §17-1722-18; QI-1 §17-1722-70; QDWI §17-1722-26; Medically Needy Spenddown §17-1730.1-11.

Use caseApply when determining eligibility for non‑MAGI groups (aged, blind, disabled; spenddown; QMB/SLMB/QI-1/QDWI).

Policy Summary

PayerHawaii Department of Human Services

Policy2026 MAGI and MAGI-excepted income standards (FPL and dollar amounts)

Policy CodePolicy N/A

Change TypeInformational annual standards publication

Effective DateJan 13, 2026

Last ReviewJan 13, 2026

Next Review DateN/A

Key ActionUse the published 2026 MAGI percentage-of-FPL thresholds and monthly dollar standards when determining eligibility for the listed Hawaii DHS coverage groups.

SourceLink

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